PAMELA JACKSON


Address: 5 Grace Church St, Port Chester, NY 10573-4911
Phone: 9149378899

PAMELA JACKSON (NPI# 1083171631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083171631
Entity Type Individual
Full Name PAMELA JACKSON
Credential PA-C
Practice Address 5 Grace Church St
Port Chester
NY 10573-4911
Practice Telephone 9149378899
Mailing Telephone 9149378899
Enumeration Date 2019-03-01
Last Update Date 2019-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers PAMELA JACKSON

NPI Name Taxonomy Address Enumeration
1447872411 Pamela Angela Jackson Counselor 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 2020-05-13
1013482439 Pamela Kenna Jackson Driver 22 Hope Ln, Elizabethport, NJ 07206-1833 2018-10-12
1265948194 Pamela Ann Jackson Counselor 106 S Independence St, Harrisonville, MO 64701-2348 2017-12-14
1629503693 Pamela Jackson Homemaker 47 Sunny Ln, B, South Lebanon, OH 45065-1431 2017-04-26
1417320995 Pamela Elaine Jackson Counselor 7200 Bancroft Ave Ste 176, Oakland, CA 94605-2411 2015-11-05
1134384498 Pamela Jackson Licensed Practical Nurse 2273 Rolling Hills Blvd, Fairfield, OH 45014-3760 2008-07-25
1518141704 Pamela L. Jackson Counselor 190 Marchand Dr, Apartment 1, Westover, WV 26501-3895 2007-12-24
1356464309 Pamela Sue Jackson Music Therapist 1540 Colorado Ave, Canon City, CO 81212-4511 2007-04-06
1467522250 Pamela Sue Jackson Social Worker 17 W Water St, Pinckneyville, IL 62274-1027 2006-11-08
1699851931 Pamela Taylor Jackson Nurse Practitioner 226 Louisiana Ave, Opelousas, LA 70570-3346 2006-10-30

Office Location

Street Address 5 GRACE CHURCH ST
City PORT CHESTER
State NY
Zip Code 10573-4911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104867761 Patricia Marie Mahoney Advanced Practice Midwife 5 Grace Church St, Port Chester, NY 10573-4911 2006-06-08
1699372441 Maria Lorena Mini De Zitella Social Worker 5 Grace Church St, Port Chester, NY 10573-4911 2020-10-05
1063043818 Rolando Manuel Alvarez Health Educator 5 Grace Church St, Port Chester, NY 10573-4911 2020-01-30
1376191221 Dariela Vasquez Social Worker 5 Grace Church St, Port Chester, NY 10573-4911 2019-09-03
1831745942 Julie Michelle Griggs Physician Assistant 5 Grace Church St, Port Chester, NY 10573-4911 2019-08-14
1043730401 Larisa Sokolson Student in an Organized Health Care Education/Training Program 5 Grace Church St, Port Chester, NY 10573-4911 2017-06-26
1083160881 Meghan Mcsherry Nurse Practitioner 5 Grace Church St, Port Chester, NY 10573-4911 2016-08-31
1972987097 Sandra Stepanovska Registered Nurse 5 Grace Church St, Port Chester, NY 10573-4911 2015-07-18
1598104499 Cherril M Rhamdeow Registered Nurse 5 Grace Church St, Port Chester, NY 10573-4911 2013-06-24
1306188313 Angela Y Mercedes Nurse Practitioner 5 Grace Church St, Port Chester, NY 10573-4911 2013-03-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023627288 Nikkita Jackson Registered Nurse 454 Westchester Avenue, Port Chester, NY 10573 2020-07-23
1568091676 Jessica Michelle Cabrera-guzhnay Counselor One Gateway Plaza St.3b, Port Chester, NY 10573 2020-04-02
1275036436 Vernon Z Harris Massage Therapist Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 2018-03-14
1750825303 Christopher Petrowski Contractor 310 Locust Avenue, Port Chester, NY 10573 2016-12-15
1457808974 Rye Ridge Pharmacy Inc Pharmacy 146 S. Ridge Street, Rye Brook, NY 10573 2016-09-01
1841646270 Jill Brookman Specialist 124 Country Ridge Drive, Rye Brook, NY 10573 2016-05-04
1396128963 Madhulika Priya Advani Dentist 118 South Ridge St, Suite 5, Rye Brook, NY 10573 2015-07-01
1407254063 Mirzana Calhoun Licensed Practical Nurse 411 Westchester Ave 1-c, Port Chester, NY 10573 2014-12-15
1053734038 Marvin Israel Matz Otolaryngology 60 Doral Greens Drive West, Rye Brook, NY 10573 2014-01-28
1932520392 Beth Woodtli Counselor 12 Jean Lane, Rye Brook, NY 10573 2014-01-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073149274 Jennifer Ann Jond Physician Assistant 410 Westchester Ave Unit 214, Port Chester, NY 10573-3654 2020-03-19
1831745942 Julie Michelle Griggs Physician Assistant 5 Grace Church St, Port Chester, NY 10573-4911 2019-08-14
1184814360 Wanda Uribe Physician Assistant 5 Grace Church St, Port Chester, NY 10573-4911 2007-07-25
1598982944 Leo Caamano Physician Assistant 5 Grace Church St, Port Chester, NY 10573-4911 2007-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144821026 Victoria Yunaev Physician Assistant 7203 166th St, Fresh Meadows, NY 11365-3237 2020-11-05
1811598857 Brittany Christine Androsko Physician Assistant 1769 Union St Fl 2, Niskayuna, NY 12309-6311 2020-11-05
1164023172 Betina Charlotte Apostol Nuguid Physician Assistant 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 2020-11-05
1023619129 Anna Leigh Vonck Physician Assistant 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 2020-11-04
1952902256 Billy Phuoctan Truong Physician Assistant 8832 18th Ave, Brooklyn, NY 11214-6002 2020-11-03
1205437621 Jason Patrick Feak Physician Assistant 6338 Falls Blvd, Chittenango, NY 13037-8799 2020-11-03
1437750742 Drew James Mitchell Physician Assistant 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 2020-11-03
1306446125 Julie Mcphillips Physician Assistant 961 W Kaisertown Rd, Montgomery, NY 12549-2317 2020-10-30
1487254330 Thomas J Nagel Physician Assistant 57 Montgomery Road, Fort Montgomery, NY 10922 2020-10-29
1700486560 Jayanti Rao Physician Assistant 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 2020-10-29
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Competitor

Search similar providers

City PORT CHESTER
Zip Code 10573

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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